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Adjustable Stomach Staple

Adjustable Gastric Band:

Adjustable gastric band is a silicone band placed on the upper part of the stomach. Its firmness can be adjusted by means of a port inserted under the skin. It is an operation that limits the eating. Use of it is gradually decreasing nowadays due to some problems it leads.

Technique:

Operation is performed under general anesthesia using the laparoscopic method. The operation can be performed through 5 holes or a single hole. This band, inserted into abdomen by creating a tunnel from behind of junction of the stomach with esophagus, is passed through this tunnel. A balloon that is inserted into the stomach by the anesthesia is inflated for 15-30 ml, and the band is then locked in a way that is will remain below the balloon. The band is fixated to the stomach with sutures. A port is inserted under the skin to adjust the firmness of the band and this port is connected to the band.

Advantages:

• The technique used is simple, operation time is short.
• It has a low complication rate because no incision in the stomach and no procedure in the intestines are performed.
• Length of hospital stay is short.
• It is reversible and can be adjusted.
• The risk of vitamin and mineral deficiency is very low.

Disadvantages:

• Slower and less weight loss compared to other methods.
• There is a truncal foreign body.
• Band slippage or stomach perforation may occur.
• Mechanical problems related with the band, tube and port may be observed.
• Expansion of the esophagus may be observed secondary to overeating.
• Frequent follow-up is required.
• Rate of reoperation is high due to problems.